Asked by Paige Wesley on May 02, 2024

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A nurse assesses a patient who reluctantly participates in activities, answers questions with minimal responses, and rarely makes eye contact. What information should be included when documenting the assessment? (Select all that apply.)

A) Uncooperative patient
B) Patient's subjective responses
C) Only data obtained from the patient's verbal responses
D) Description of the patient's behavior during the interview
E) Analysis of why the patient is unresponsive during the interview

Uncooperative Patient

A patient who does not comply with or is resistant to proposed healthcare interventions or advice.

Minimal Responses

Limited or minimal verbal feedback during communication, often used to indicate listening without providing extensive input.

Patient's Behavior

The actions, reactions, or mannerisms exhibited by a patient, which can provide crucial information in a clinical setting.

  • Perform detailed evaluations of psychiatric patients, even those with communication disabilities.
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ZK
Zybrea KnightMay 08, 2024
Final Answer :
B, D
Explanation :
Both the content and process of the interview should be documented. Providing only the patient's verbal responses creates a skewed picture of the patient. Writing that the patient is uncooperative is subjectively worded. An objective description of patient behavior is preferable. Analysis of the reasons for the patient's behavior is speculation, which is inappropriate.